Organization
HOUSE OF MERCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA PETERSON MS, CADC, LMHC (DIRECTOR)
(515) 643-6500
Entity
Organization
Contact information
Practice address
1409 CLARK ST, DES MOINES, IA 50314-1964
(515) 643-6500
Mailing address
1409 CLARK ST, DES MOINES, IA 50314-1964
(515) 643-6500
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0705979
—
IA
Enumeration date
01/03/2007
Last updated
07/30/2018
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